| NPI | 1285242172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 07307) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSYA00330) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2025-03-19 |